This pilot study measured the impact of the use of Manual-assisted Cognitive Therapy (MACT) on parasuicide attempts versus treatment as usual (TAU). The MACT intervention included problem-solving techniques, self-monitoring of thoughts and feelings, coping strategies, pros and cons of substance abuse and harm-reduction strategies delivered through a participant manual and accompanying worksheet. This study demonstrates the impact of participant self-change resources coupled with facilitated sessions focused on discussing the participants' work in the manual and worksheets. Similar to the MACT intervention, The Change Companies®' Interactive Journaling® approach blends the process of self-exploration of thoughts, feelings and behaviors through participant resources, bibliotherapy and facilitated discussion targeted on the Interactive Journal and rehearsal of learned skills. Furthermore, "Our initial findings show that the cognitive-behavioural approach can be successfully combined with bibliotherapy (Lidren et al. 1994)."
The most statistically significant finding was the decrease of depressive symptoms with the MACT treatment compared to the treatment as usual group. This study demonstrates the potential of therapeutic writing and manualized cognitive therapy as an effective intervention for repetitious self-injurious behavior.
Lidren, D.M., Watkins, P.L., Gould, R.A., Clum, G.A., Asterino, M. & Tulloch, H.L.
(1994). A comparison of bibliotherapy and group therapy in the treatment of panic disorder. Journal of Consulting and Clinical Psychology, 62, 865-869.